Provider Demographics
NPI:1487617734
Name:NORRIS, RICHARD N (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:N
Last Name:NORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 CARLON DR
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2301
Mailing Address - Country:US
Mailing Address - Phone:413-584-5384
Mailing Address - Fax:413-585-0018
Practice Address - Street 1:76 CARLON DR
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2301
Practice Address - Country:US
Practice Address - Phone:413-584-5384
Practice Address - Fax:413-585-0018
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55161208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3194825Medicaid
MAJ05140OtherBCBS MA
MA703216OtherTUFTS
MA04-3194547OtherNORTH AMERICAN PREFERRED
MA04-3194547OtherNORTHEAST HEALTHCARE ALLI
MA04-3194547OtherNORTHEAST HEALTH DIRECT
MA000000020446OtherBMC
MA04-3194547OtherPLAN VISTA
MA551611-J421OtherCONNECTICARE
MA04-3194547OtherCONSOLIDATED
MA04-3194547OtherUNITED HEALTHCARE
MA2161649OtherAETNA
MAAA11173OtherHARVARD PILGRIM
MA04-3194547OtherGREAT-WEST
MA04-3194547OtherUNICARE/GIC
MA24949OtherHEALTH NEW ENGLAND
MA8912681OtherCIGNA
MA3194825Medicaid
MAA29486Medicare PIN